- Fallon Health (Worcester, MA)
- …and clinical functions related to outpatient and inpatient, utilization management operations, including but not limited to prior authorization, concurrent ... + Recommends and implements innovative process improvements for the prior authorization and utilization management ...cost of care opportunities related to Utilization Management . + Works with VP/ Medical Director … more
- South Middlesex Opportunity Council (Framingham, MA)
- …casual Working Conditions: As part of the responsibilities of this position, the Utilization Management Coordinator will have direct or incidental contact with ... children and families. This position will coordinate billing and monitor utilization review for the Clinic and Residential Recovery Programs. Candidates must… more
- Hologic (Marlborough, MA)
- Project Portfolio Management Analyst (Enterprise Portfolio Management ) Marlborough, MA, United States At **Hologic** , we are committed to driving operational ... we continue to grow, we seek a talented **Portfolio Management Analyst** to optimize our enterprise project and portfolio...Governance process for the enterprise tool (working with the Director - IT PMO). + Develop best practices for… more
- Point32Health (Canton, MA)
- …Knowledge of or experience with Medicare Part B & D, Medicaid, and Drug Utilization Management . Prior authorization experience, including reviewing drug use ... (https://www.point32health.org/) . **Job Summary** Under the direction of the Pharmacy Utilization Management (UM) Supervisor, the Per Diem Clinical Pharmacist… more